生理盐水灌肠治疗骨科下肢手术术后尿潴留的临床观察

Clinical observation on postoperative patients with urine retention in orthopaedics department after lower extremity operation treated with sodium chloride coloclysis

[目的]探讨生理盐水灌肠用于解除骨科下肢手术后尿潴留的效果。[方法]随机选择72例骨科下肢手术术后尿潴留病人，利用随机数字表分为两组，各36例。观察组用生理盐水灌肠，对照组用传统诱导法。排除下尿路梗阻、语言障碍、泌尿系统疾病病人。[结果]观察组有效率94．4％，对照组有效率72．2％，两组比较差异有统计学意义（P〈0．01）；两组首次排尿时间比较，差异有统计学意义（P〈0．01）。[结论]生理盐水灌肠用于解除骨科下肢手术术后尿潴留效果满意。

Objective： To probe into the curative effect of sodium chloride coloclysis to relieve postoperative urine retention after lower extremity operation in orthopaedics department. Methods： A total of 72 patients with postoperative urine retention after lower extremity operation in orthopaedics department were selected randomly and divided into test and control group （36 cases each） by using random number. Coloclysis with sodium chloride was carried out for test group and traditional induction method for control group cases. Patients with lower urinary obstruction or language barrier or urinary system diseases were excluded. Results： The effective rate was 94.4 % in observation group and 72.2 % in control group. There was statistical significant difference between the two groups （P〈0.01）. And there was statistical significant difference in terms of the first time of urination （ P 〈 0.01 ） between the two groups cases. Conclusion： The effect of coloclysis with sodium chloride is satisfactory for relieving postoperative urine retention for patients after lower extremity operation in department of orthopaedics.